Individual
TANA GAUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3460 OCEAN VIEW BLVD, GLENDALE, CA 91208-1538
(310) 658-2925
Mailing address
12405 VENICE BLVD # 216, LOS ANGELES, CA 90066-3803
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70883
CA
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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